05-1015 (BLCK)Tmf Ot 4 a"
1. Box 1504
495 CALLE TAMPICO
QUINTA, 'CALIFORNIA 9.2253
fiber
s
rorty :
Application description .
Property Zoning . . . .
Application valuation . .
BUILDING PERMIT
BUILDING & SAFETY DEPARTMENT
(760).777-7012
FAX (760) 777-7011
INSPECTION REQUESTS (760) 771-7153
05-00°001015 Date 3/22/05
48905 EISENHOWER DR
6,58-130-011-. - -
WALL/FENCE
LOW DENSITY RESIDENTIAL
1,32443
Owner
Contractor
CENTEX HOMES
CENTEX HOMES
22,75 CORPORATE
CIR #230 901 N. GREEN VALLEY
PKWY, 140
HENDERSON
NV 89`074 HENDERSON
NV 890`74
(.702) 990-08.00
WCC: ZURICH AMER
INS
WC: WC8.32209708
1.0/01/05
CSLB; 825943
10,/31/05
CCC: A -B
Permit '. .
. . WALL/FENCE PERMIT
Additional desc
.
Permit Fee . .
. . 755.00 Plan Check Fee
.00
Issue Date. . .
. . Valuation . . . .
132443
Qty Unit
Charge Per
Extension
BASE 'FEE
639.50
33.00
3.5000 THOU BLDG 100,001-50,0,000
115.50 -
Special Notes and
Comments
PERIMETER WALLS
PER APPROVED WALL
PLAN (.BC IN P/W,
FB IN CDD) .1661 4'
BLOCK WALL/ 4097
6' OR GREATED WALL/148'
OF COLUMNS OF VARYING HEIGHT. ALL PER
ORCO
Fee summary
--------------------
Permit Fee Total
Plan Check Total
Grand Total
Charged. ' Paid
755.00 .00
.00 .00.
755.00. .00
Credited Due
.00 755..00
.00 .00
.00 755.00
P.O.. Bo.x 1504.•� VOICE. (760) 777-70:12
78-495 CALLS TA lco FAX (760) 777-7011
LA QUINTA, CALIFORNIA. 9225'3 4INSPECTIONS (760) 777-7'15.3
BUILDING & SAFETY DEPARTMENT
Application Number: % b / S� I Date: 75—Z2
Applicant:
Applicant's Mailing Address:
Architect or Engineer:
Architect or Engineer's Address:
Lic. No.
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that am licensed under provisions of Chapter 9 (commenting with Section 7000) of Division 3 of the Business and Professionals
Code, and my License is�full force and effect.
License Class A i _�L cenrsjeN�o.-
Date'" ZZ` 0 Contractor 1`�^'"` I f
OWNER43UILDER DECLARATION
I hereby affirn.under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
city or countythat requires.a permit to constrict, alter„ improve, demolish; or repair'any structure, prior to its'issuance, also requires the applicant for the permit to file a signed
statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law, (Chapter 9 (commencing with Section 7000) of Division 3 of the Business
and Professions Code) orthathe.or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects
the applicant to a civil, penalty of'not more than five hundred dollars ($500).):
U I, as owner of the property, or my employees with.wages as their sole compensation, will do the work, and the structuress not intended oroffered for sale (Sec. 7044,
Business and Professions Coder The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who.does the work
himself,or herself or, through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building orimprovement is
sold within one yearof completion, the owner -builder will have the burdenof proving that he or she did not build or improve for the purpose otsale:).
U I, as owner of the property: am exclusively+contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code:, The Contractors'
State License Law does not apply an owner, of property who builds or improves thereon, and who tantractsfor the projects witha contractors) licensed pursuant to
the Contractors' State License -Law.).
U I am exempt under Sec. , B.8 P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affrm.under penalty of perjury one ofthe:following declarations:
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance
of the work for,which this permit is issued.
a I have and will maintain workers' compensation -insurance, as required by Section 3700 of the. Labor Code, for the performance of,the work for which this permit is
issued. My' orkers' compensation_ insurance carrier and nt�y��9r are: (7
Carrier. _t ; � JQ,dNQ ( I olicy'NUmber 5 G2 �O b
_ I certify in pe orrnance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree.that, it 1, should' become subjectto the workers' compensation provisions of Section 3700 of.the Labor Code, 1 shall
forthwith comply with,those provisions.
_Date ._-3-n-oD F,.aplicant il' �N
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO' ONE HUNDRED THOUSAND DOLLARS ($100,006J, IN ADDITION TO THE;COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST; AND ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that`there is,a construction lending;agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lenders,Name
Lender's Address
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application, is herebymade to the Director of Building;and Safety for a permit subjecbto the conditions and restrictions:setforth on this application..
1. Each person upon whose behalf this application is made, each person at whose request and for whosebenefit work'is performed under or pursuant to any permit
issued as a result of 'this application,, the owner, and the applicant, each.agreesto, and shall, defend, indemnify and hold harmless the City of La Quinta. its
officers, agents and employees for any act or omission related to thework being performed under or following issuance of this permit.
2. Any permit issued as.a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or
cessation of'work for 180 days will subject permit to cancellation.
I certify that 1 have read this appficafion•and Vate that the above information is correct I agree to comply with all city and county ordinances and state laws relating to building
construction; andihereby authorize representatives this county to enter upon th%e'�abo - nntio�ned_ property for inspection purposes.
Date 1 3�22'�i Signature (Appticant:.o(:Agent): 1 r ' 0
PHASE. I
CONSULTANTS
OWNER
CENTEX DESTINATION PROPERTIES
41-865 BOARDWALK #101
PALM DESERT, CA 92211
TEL: (760) 862-1030 ' FAX: (760) 862-1040
CONTACT: STEVE PATTERSON
LANDSCAPE ARCHITECT
--FORREST K. HAAG, ASLA, INC.
1254 N. COAST H WY. ,
LAGUNA BEACH, CA. 92651
TEL: (949) 376=9066 FAX: (949) 376-9067
CONTACT: FORREST HAAG
PROJECT ARCHITECT
HEZMALHALCH
2850 REDHILL AVENUE #200
SANTA ANA, CA 92705-5543
TEL: (949) 250-0607 FAX: (949) 250-1529
CONTACT: DIANE HUSSEY
CIVIL ENGINEER
MDS CONSULTING
78-900 AVE 47 #208
l,.A QUINTA. CA. 92253
TEL: (760) 771-4013 FAX: (760) 771-4073
CONTACT: CHRIS BERGW
'VICINITY MAP
v
CITY OF LA QUI'NTA
Public Works/Engineering Dept.
ABBREV
4 DIAMETER